| NPI | 1184786543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B KELLUM President 503-331-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1385) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00840) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-04-11 |